Awareness of Diabetes Risk Factors and Prevention Strategies Among a Sample of Low-Income Latinos With No Known Diagnosis of Diabetes

Rosal, Milagros C.; Borg, Amy; Bodenlos, Jamie S.; Tellez, Trinidad; Ockene, Ira S.

doi:10.1177/0145721710392247

Cited by 51 publications

(33 citation statements)

References 51 publications

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“…Increased risk perception is associated with behavioural change (Rosal et al . ). If knowledge of risk factors and associated complications of T2D increases, then positive behavioural change to reduce risk is more likely.…”

Section: Discussionmentioning

confidence: 97%

Exploring risk, prevention and educational approaches for the non‐diabetic offspring of patients with type 2 diabetes – a qualitative study

Gordon

Walker

Carrick-Sen

2013

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 97%

Exploring risk, prevention and educational approaches for the non‐diabetic offspring of patients with type 2 diabetes – a qualitative study

Gordon

Walker

Carrick-Sen

2013

Journal of Advanced Nursing

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“…The lack of response to newspaper advertisements may be due to declining newspaper readership or to decreased community awareness of risk factors for diabetes, such as obesity, hypertension, and hyperlipidemia. 51 Diabetes prevention group office visits could be implemented in a cost-neutral manner. A physician and assistant staffed the group visits, similar to the staffing for regular office visits.…”

Section: Discussionmentioning

confidence: 99%

Families United/Familias Unidas

et al. 2012

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“…The intervention draws from Social Cognitive Theory [40] and the Transtheoretical Model [41] and takes into account findings by our research group on the specific social, cultural, economic, and environmental resources as well as challenges faced by women of Hispanic backgrounds [25,42,43]. …”

Section: Methodsmentioning

confidence: 99%

“…At each BMI level, Hispanics have a higher prevalence of diabetes than non-Hispanic whites [22-24]. Furthermore, a significant proportion of Hispanics lack awareness of diabetes risk factors and prevention strategies [25]. Despite the high rates of progression of GDM to type 2 diabetes, only one in five Hispanic women receive recommended postpartum diabetes screening, the lowest follow-up frequency for any group [26].…”

Section: Introductionmentioning

confidence: 99%

Estudio Parto: postpartum diabetes prevention program for hispanic women with abnormal glucose tolerance in pregnancy: a randomised controlled trial – study protocol

Chasan‐Taber

Marcus

Rosal

et al. 2014

BMC Pregnancy Childbirth

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BackgroundDiabetes and obesity have reached epidemic proportions in the U.S. with rates consistently higher among Hispanics as compared to non-Hispanic whites. Among Hispanic women diagnosed with gestational diabetes mellitus (GDM), 50% will go on to develop type 2 diabetes within 5 years of the index pregnancy. Although randomised controlled trials among adults with impaired glucose tolerance have shown that diet and physical activity reduce the risk of type 2 diabetes, such programs have not been tested in high-risk postpartum women. The overall goal of this randomised controlled trial is to test the efficacy of a culturally and linguistically modified, individually-tailored lifestyle intervention to reduce risk factors for type 2 diabetes and cardiovascular disease among postpartum Hispanic women with a history of abnormal glucose tolerance during pregnancy.Methods/DesignHispanic pregnant women who screen positive for GDM will be recruited and randomly assigned to a Lifestyle Intervention (n = 150) or a Health & Wellness (control) Intervention (n = 150). Multimodal contacts (i.e., in-person, telephone, and mailed materials) will be used to deliver the intervention from late pregnancy (29 weeks gestation) to 12 months postpartum. Targets of the intervention are to achieve Institute of Medicine Guidelines for postpartum weight loss; American Congress of Obstetrician and Gynecologist guidelines for physical activity; and American Diabetes Association guidelines for diet. The intervention draws from Social Cognitive Theory and the Transtheoretical Model and addresses the specific cultural and environmental challenges faced by low-income Hispanic women. Assessments will be conducted at enrollment, and at 6-weeks, 6-months, and 12-months postpartum by trained bicultural and bilingual personnel blinded to the intervention arm. Efficacy will be assessed via postpartum weight loss and biomarkers of insulin resistance and cardiovascular risk. Changes in physical activity and diet will be measured via 7-day actigraph data and three unannounced 24-hour dietary recalls at each assessment time period.DiscussionHispanic women are the fastest growing minority group in the U.S. and have the highest rates of sedentary behavior and postpartum diabetes after a diagnosis of GDM. This randomised trial uses a high-reach, low-cost strategy that can readily be translated into clinical practice in underserved and minority populations.Trial registrationNCT01679210

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Awareness of Diabetes Risk Factors and Prevention Strategies Among a Sample of Low-Income Latinos With No Known Diagnosis of Diabetes

Abstract: This Latino sample had limited knowledge of diabetes risk factors and lifestyle changes that can prevent or delay diabetes onset. Insights for intervening for diabetes prevention are offered.

Cited by 51 publications

References 51 publications

Exploring risk, prevention and educational approaches for the non‐diabetic offspring of patients with type 2 diabetes – a qualitative study

Exploring risk, prevention and educational approaches for the non‐diabetic offspring of patients with type 2 diabetes – a qualitative study

Families United/Familias Unidas

Estudio Parto: postpartum diabetes prevention program for hispanic women with abnormal glucose tolerance in pregnancy: a randomised controlled trial – study protocol

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